Individual provider

Nima Khavanin

Plastic Surgery Physician Medicare enrolled

Nima Khavanin is a Plastic Surgery Physician in Baltimore, MD, registered under NPI 1770973190.

Getting there

The practice address on file is 4940 EASTERN AVE SUITE A518, Baltimore, MD 21224. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4940 EASTERN AVE SUITE A518, Baltimore, MD 21224 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD500003365 DC Plastic Surgery Physician primary
D0100771 MD Plastic Surgery Physician

Licences are recorded in 2 states: DC, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
9335497593

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
District of Columbia I20240731001840 Practitioner - Plastic And Reconstructive Surgery
Maryland I20240731002092 Practitioner - Plastic And Reconstructive Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. There are 2 separate enrolment records across 2 states (DC, MD). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: District of Columbia and Maryland. The practice address on file is in Baltimore, MD, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia
Licence
MD500003365
Specialty
Plastic Surgery Physician
Verify with the DC board →
MD Maryland practice address
Licence
D0100771
Specialty
Plastic Surgery Physician
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Plastic Surgery covers

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. NUCC Health Care Provider Taxonomy, code 208200000X
Allopathic & Osteopathic Physicians Plastic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208200000X Plastic Surgery Physician MD500003365 DC primary
208200000X Plastic Surgery Physician D0100771 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1770973190 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 24, 2015
Last updatedJul 18, 2024
StatusActive
Sole proprietorNo
Practice address 4940 EASTERN AVE
SUITE A518
Baltimore, MD 21224
(410) 550-0407
Mailing address 6201 GREENLEIGH AVE FL 2
Middle River, MD 21220
This record was updated on Jul 18, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1770973190 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 7 0 9 7 3 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 5 0 9 7 6 1 9

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1770973190?
NPI 1770973190 is the National Provider Identifier assigned to Nima Khavanin in Baltimore, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Physician cover?
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is…
How do I contact Nima Khavanin?
The phone number on file with NPPES is (410) 550-0407, last updated Jul 18, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nima Khavanin accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1770973190 a valid number?
Yes. 1770973190 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.